NPI | 1194010421 |
---|---|
Doing Business As | CLARKSVILLE FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | WARD LEE President 479-774-5921 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20656) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2016-12-16 |